<!DOCTYPE html>
<html lang="en">

<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1.0">
    <title>Document</title>
    <style>
        body{
            padding: 50px;
        }
        h2{
            padding-left: 15px;
        }
        .row{
            display: flex;
            padding: 15px;
            font-size: medium;
        }
       .name{
           width: 150px;
       }
       .input{
           flex: 1;
       }
       textarea{
           flex: 1;
       }
button{
height: 25px;
width: 125px;
}
.grey{
margin-right: 20px;
}
.blue{
    background-color: cornflowerblue;
    color: white;
   
}
    </style>
</head>

<body>
    <div>
        <h2>新建线索</h2>
        <div class="total">
            <div class="row">
                <div class="name">线索名称</div>
                <input class="input" type="text">
            </div>
            <div class="row">
                <div class="name">线索来源</div>
                <input class="input" type="text">
                <select></select>
            </div>
            <div class="row">
                <div class="name">联系电话</div>
                <input class="input" type="text">
            </div>
            <div class="row">
                <div class="name">联系地址</div>
                <input class="input" type="text">
            </div>
            <div class="row">
                <div class="name">跟进状态</div>
                <input type="radio" name="state">未跟进
                <input type="radio" name="state">已跟进
            </div>
            <div class="row">
                <div class="name">跟进时间</div>
                <input class="input" type="date">
            </div>
            <div class="row">
                <div class="name">跟进记录</div>
                <textarea class="input"></textarea>
            </div>
            <div class="row">
                <div class="name">备注</div>
                <textarea class="input"></textarea>
            </div>
            <div class="row">
                <div class="name">下次联系时间</div>
                <input class="input" type="date">
            </div>
            <div class="row">
                <div class="name"></div>
                <button class="grey">取消</button>
                <button class="blue">保存</button>
            </div>
        </div>
    </div>
</body>

</html>